Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Wellness PLLC

Organization Family Medicine Physician · NPI 1912731712

Legacy Wellness PLLC is a Family Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19841 N 27th Ave Ste 204
Phoenix, AZ 85027-4005
Phone: (623) 792-3584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1912731712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Kelly — Provider · (623) 792-3584
Other names Legacy Wellness Pllc
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing addressPo Box 46, Peoria, AZ 85380-0046

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